Italian pediatric nutrition survey.
A Lezo1, A Diamanti2, T Capriati2
1OIRM, Città della Salute e della Scienza, Torino, Italy.
Clinical Nutrition ESPEN
|July 18, 2018
Summary
Pediatric malnutrition is prevalent in hospitalized children in Italy, affecting nearly one-third. Nutritional support is inadequately provided to malnourished children, indicating underrecognition of this critical issue.
Area of Science:
- Pediatric Nutrition
- Clinical Malnutrition
- Hospitalized Children
Background:
- Pediatric malnutrition is underrecognized globally and in Italy.
- A new definition of pediatric malnutrition correlates illness with anthropometric z-scores.
Purpose of the Study:
- To determine the prevalence of malnutrition in hospitalized children in Italy.
- To assess the extent of nutritional support provided to these children.
Main Methods:
- A nationwide survey was conducted on April 16, 2015, across 73 Italian hospitals.
- Data on patient anthropometry, diagnoses, chronic diseases, and nutritional support (ONS, EN, PN) were collected.
- Nutritional status was defined using BMI and Height-for-Age z-scores based on WHO and CDC growth charts.
Main Results:
- 1790 records were analyzed; 28.7% of children exhibited wasting and 17.3% showed stunting.
- Malnutrition was more prevalent in children with chronic diseases.
- Only 23.5% of malnourished children received any form of nutritional support (ONS, EN, or PN).
Conclusions:
- Nearly one-third of hospitalized children in Italy suffer from malnutrition.
- A significant gap exists in providing nutritional support to malnourished pediatric patients.
- Malnutrition in hospitalized children is likely underrecognized and undertreated.
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